Happy Hours Day Care, LLC.

The center shall obtain a complete sworn disclosure statement prior to the individuals first day of employment.

“Staff #2, #4, and #5 had sworn disclosure statements that were incomplete. Staff #2, #4, and #5 were working alone with children.”

Rule 22.1-289.035-B-1.

The center must request a search of the central registry ( CPS ) prior to the employees first day of employment.

“The record for Staff #3, employed for 7 months, and Staff #5, employed for 20 days, did not contain documentation of a central registry request or results. Staff #3 and Staff #5 were working alone with children.”

Rule 22.1-289.035-B-3.

The center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding 5 years.

“On the date of the inspection, the record for Staff #3, employed for 7 months, was missing 3 background checks from one state and 2 background checks from a second state. Staff #3 has been working alone with children.”

Rule 22.1-289.035-B-4.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment.

“The TB screening for Staff #3 and Staff #5 was not completed within 30 calendar days of the date of employment. The screening for Staff #3 was completed 55 days prior and the screening for Staff #5 was completed 50 days prior.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening every 2 years from the date of the first initial screening.

“The record for Staff #1 contained a TB screening dated 2023. A subsequent screening had not been obtained.”

Rule 8VAC20-780-160-C.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“The record for Staff #3, employed for more than 7 months, did not contain documentation of completing the departments sponsored orientation course.”

Rule 8VAC20-780-240-A.

To safely perform medication administration for prescribed medications, the administration shall be performed by a staff member who has satisfactorily completed a training program for this purpose approved by the Board of Nursing.

“Child #3 had an emergency medication intended to be administered in case of an allergen exposure. Staff #1 had completed a medication administration program, but it did not cover the type of medication required for Child #3.”

Rule 8VAC20-780-245-J-1.

There shall always be at least one staff member on duty who has obtained the instruction in performing the daily health observation of children.

“On the date of the inspection, there were no staff present who were certified to perform daily health observations of children.”

Rule 8VAC20-780-245-L.

REPEAT VIOLATION The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The centers most recent fire inspection was dated December 2024.”

Rule 8VAC20-780-260-A.

REPEAT VIOLATION The center shall provide annual approval from the health department for meeting requirements for water and sewage disposal.

“The center did not have documentation of completing an annual health inspection for water and sewage disposal.”

Rule 8VAC20-780-260-B.

When staff are supervising children, they shall always ensure their care and protection.

“Child #3 had emergency medication intended to be administered in case of an allergen exposure. During the inspection, Staff #1 and Staff #5 could not locate the medication until 2 minutes after the inspector requested to see it. The medication authorization form and the expired written allergy care plan was stored separately and was not located until 10 minutes after the request.”

Rule 8VAC20-780-340-A.

At least annually, staff shall request a parent review and confirmation that the required information in the childs record is up to date.

“The record review for Child #3, #4, #5, and #6 was overdue by 5 months.”

Rule 8VAC20-780-420-E-3.

Prepared infant bottles shall be refrigerated, dated, and labeled with the childs name.

“In Classroom #1, Child #1 had 2 out of 2 bottles that were not dated. Child #2 had 3 out of 3 bottles that were not dated.”

Rule 8VAC20-780-570-E.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding food in which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.

“The record for Child #3 and Child #7 contained documentation of the children having food allergies that require the use of emergency medication in case of an allergen exposure. On the date of the inspection, Child #3 had a written care plan that had been expired for more than 5 months. Child #7 had a written care plan that was incomplete. Both children had on-site medication.”

Rule 8VAC20-780-60-A-8.

The following staff records shall be kept for each staff person: name, address, and phone number of a person to be notified in an emergency; documentation of education; and documentation that 2 or more references as to character and reputation were checked before employment.

“The record for Staff #3, employed for 7 months, did not contain documentation of education or at least 2 reference checks. The record for Staff #5, employed for 20 days, did not contain documentation of education or an emergency contact.”

Rule 8VAC20-780-70.

REPEAT VIOLATION Staff members shall obtain and submit the results of a follow-up tuberculosis screening every two years from the date of the first initial screening.

“The record for Staff #1 contained a TB screening dated 2022. A subsequent screening had not been obtained.”

Rule 8VAC20-780-160-C.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Staff #2 did not have documentation of training for 2025.”

Rule 8VAC20-780-245-A.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The center did not have documentation that a fire inspection was completed in 2025.”

Rule 8VAC20-780-260-A.

Annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal.

“The center did not have an Environmental Sanitation inspection to check water and sewage disposal.”

Rule 8VAC20-780-260-B.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“Child #1, age 8 months, was observed sleeping in a crib with five blankets. Two blankets were hung over the exposed sides of the crib, obstructing the view of the child. One blanket was folded underneath the childs head, one blanket was covering the child, and one blanket was balled up near the childs feet.”

Rule 8VAC20-780-340-A.

SYSTEMIC DEFICIENCY The center shall implement practice evacuation drills monthly.

“The center did not practice an evacuation drill in September, October, November, and December of 2025 and January 2026.”

Rule 8VAC20-780-550-D.

Shelter in place procedures shall be practiced a minimum of twice per year.

“The last shelter in place drill recorded in the centers emergency drill log was dated April 2025. A second drill was not practiced for the year.”

Rule 8VAC20-780-550-E.

For each group of children, the center shall maintain a record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Five out of five attendance records reviewed did not document the departure of each child.”

Rule 8VAC20-780-80-A.

Staff who work with children shall complete the departments health and safety update course annually.

“The record for Staff #1 and Staff #3 did not contain documentation of completing the departments health and safety course for 2024 and 2025. Staff #2 had not completed the course for 2025.”

Rule 8VAC20-790-600-F.

A tuberculosis (TB) screening is required every two years from the last screening.

“At the time of the inspection, Staff #1 was six months overdue for a subsequent TB screening.”

Rule 8VAC20-780-160-C.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room where children are present.

“Child #1, enrolled for more than 6 months, had documented allergies that were not indicated on the written list accessible to staff. The written list that was posted was not dated.”

Rule 8VAC20-780-40-M.

REPEAT VIOLATION Prepared infant formula shall be dated.

“In Classroom #1, 1 out of 3 bottles were not dated.”

Rule 8VAC20-780-570-E.

Prepared infant formula shall be dated.

“In Classroom #1, 2 out of 2 children’s bottles were not dated. In Classroom #2, 1 out of 3 children’s bottles were not dated.”

Rule 8VAC20-780-570-E.

The written agreement between the parent and the center shall include an authorization for emergency medical care should an emergency occur when the parent cannot be located.

“The record for Child #1, enrolled for more than 1 month, did not have authorization for emergency medical care.”

Rule 8VAC20-780-90-A.

Based on record review, staff who work directly with children did not obtain training of the department’s health and safety updated course for 2024.

“Evidence: Staff # 2’s record did not have documentation of completing the VA health and safety course in the past 12 months.”

Rule 8VAC20-790-600-F.

Based on record review, an agent of an applicant for licensure as a child day center failed to submit a background check in accordance with subsection B every five years after initial.

“Evidence: As of 7/18/2024, Agent #1’s most recent sworn disclosure statement was dated 5/30/2018.”

Rule 22.1-289.036-A.

Based on record review, center staff did not obtain documentation of viewing proof of the child’s identity and age.

“Evidence: Child # 5 (dob 7/9/2022) most recent immunization was dated 1/2/2024.”

Rule 8VAC20-780-130-E.

Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after first day of attendance.

“Evidence: 1) Child # 3 (first day 8/24/2021) date of physical 1/24/2022 2) Child # 4 (first day 10/11/2022) date of physical 12/23/2022”

Rule 8VAC20-780-140-A.

Based on record review and interview, staff did not complete a minimum of 16 hours of training appropriate to the age of children in care annually.

“Evidence: The training record for staff #2 had 5 hours of training documented.”

Rule 8VAC20-780-245-A.

Based on observation, areas and equipment of the center, outside, were not maintained in a clean, safe and operable condition.

“Evidence: 1) storage shed containing yard equipment (ex. lawnmower, hose) was not locked. 2) two benches beside the shed were rusted and had sharp edges. 3) the chain link fence was damaged and bent to expose sharp points which could entangle clothing or snag skin.”

Rule 8VAC20-780-270-A.

Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1) paint cans containing toxic materials were found on the ground next to the shed, not kept in a locked place and were accessible to children. 2) household cleaning materials were not kept in a locked place in the classrooms and were accessible to children.”

Rule 8VAC20-780-280-B.

Based on record review and interview, the center did not maintain in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8.

“Evidence: Child # 5 has a diagnosed food allergy that was not listed on the allergy chart posted in the classrooms.”

Rule 8VAC20-780-40-M.

Based on record review and interview, staff did not request at least annually parent confirmation that the required information in the child’s record is up to date.

“Evidence: As of 7/18/2024, child # 3 (date of child record 8/24/2021) and child # 4 (date of child record 10/11/2022), no annual review was documented.”

Rule 8VAC20-780-420-E-3.

Based on observation and interview, prescription medication was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: An EpiPen was found stored in an unlocked filing cabinet, accessible to children.”

Rule 8VAC20-780-510-L.

Based on observation and interview, the facility did not have a first aid kit on each floor of the building used by children.

“Evidence: There was no first aid kit on the lower level where the children are present.”

Rule 8VAC20-780-540-A.

Based on observation, food brought from did not have all of the required information.

“Evidence: 1) 6:6 infant bottles were not dated. 2) In rooms 3 and 4, lunch bags were not clearly dated and labeled in a way that identifies the owner.”

Rule 8VAC20-780-560-G.

Based on record review, the center did not have documentation of viewing proof of the child’s identity and age.

“Evidence: The center had a copy of the birth certificate but did not have documentation of viewing the original for children 1, 3, and 4.”

Rule 8VAC20-780-60-C.

Based on record review, documentation that two or more references as to character and reputation as well as competency did not contain all required information.

“Evidence: Staff #’s 1, 2, and 3 had references that did not document the date of contact.”

Rule 8VAC20-780-70.

Based on record review and interview, a written agreement between the parent and the center stating that the parent will arrange to have the child picked up as soon as possible if so requested by the center was not signed by parents.

“Evidence: There was no signed acknowledgement by parents that they will arrange to have their child picked up as soon as possible if so requested by the center for children 1 - 5.”

Rule 8VAC20-780-90-A.

8VAC20-780-245-H

“Based on record review, the center did not review emergency preparedness plan annually with staff. Evidence: No date on current emergency plan.”

Rule 8VAC20-780-245-H.

8VAC20-780-245-J-1

“Based on record review and interview, the center has agreed to administer emergency prescribed medications, no documentation that a staff member has satisfactorily completed a training program for this purpose approved by the Board of Nursing. Evidence: No staff had MAT certificate available at inspection.”

Rule 8VAC20-780-245-J-1.

8VAC20-780-290-A-3

“Based on observation, not all electrical outlets have protective covers. Evidence an outlet in Infant room and in lunch table area had unused/exposed outlets.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-500-B

“Based on observation and interview, diapering surfaces were not nonabsorbent. Evidence: In 4:5 diapering stations, diaper changing pads had tears or holes, rendering them absorbent.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-B

“Based on record review, the center does not have written authorization from the parent to administer prescribed medication. Evidence: Child #1 has prescription medication and the center does not have parental authorization to administer, on file.”

Rule 8VAC20-780-510-B.

8VAC20-780-520-C

“Based on record review and interview, the center did not obtain written parent authorization noting any known adverse reactions to diaper ointments/creams used. Evidence Child #1, Child #2, Child #3 did not have written parent authorization noting any known adverse reactions in their files.”

Rule 8VAC20-780-520-C.

8VAC20-780-60-A

“Based on record review, the center did not have all required information in children’s files, regarding name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: Child #2’s file only listed one person’s name, address, and phone number.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A

“Based on record review, the center did not have documentation of viewing proof of the child’s identity and age. Evidence: No documentation of viewing proof of child’s identity and age, in Child #1, #2, #3 or #4’s record.”

Rule 8VAC20-780-60-A.

Based on record review, the center did not ensure that all sworn disclosure statements were updated every 5 years.

“Evidence: Staff #3’s record contained a Sworn Disclosure Statement that was last updated on 5/29/2018.”

Rule 22.1-289.035-A.

Based on record review, the center did not obtain a Tuberculosis screening or test result update every 2 years as required.

“Evidence: Staff #4’s record contained a TB screening form that was last updated on 6/10/2021.”

Rule 8VAC20-780-160-C.

Based on record review and interview, children that have emergency medication on-site were not always in the care of a staff member with MAT certification.

“Evidence: Child#1 has an emergency medication on site, the child was not in the care of a staff member currently certified to administer medication.”

Rule 8VAC20-780-245-J.

Based on a review of documentation and interview, an annual inspection report from the appropriate fire official was not completed.

“Evidence: The fire inspection documentation available for review was dated 6/14/2022.”

Rule 8VAC20-780-260-A.

Based on review of four staff records, the facility did not ensure each staff record contained written information to demonstrate that the individual possesses the education, staff development, or certification required by the job position.

“Evidence: The records for Staff 3, Staff 4, and Staff 5 did not contain documentation that the individuals possess the education, or staff development training, or certification required by their job positions.”

Rule 8VAC20-780-70.

Based on record review, the center did not obtain a repeat fingerprint based background check for a staff member every five years as required.

“Evidence: Staff#1’s record contains a fingerprint check result dated 2/26/2018, the background check expired on 2/26/2023.”

Rule 22.1-289.035-A.

Based on observation, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

“Evidence: There was no lead qualified teacher in the Preschool classroom. Staff#5 is not lead qualified.”

Rule 8VAC20-780-210-A.

Based on observation, the diapering mat was not nonabsorbent.

“Evidence: In the Two’s classroom, the diapering mat was no longer nonabsorbent due to a tear of approximately 1 inch in diameter in the material.”

Rule 8VAC20-780-500-B.

Based on record review, the center did not obtain a Tuberculosis (TB) screening or test at least every two years from the date of the last screening /test.

“Evidence: Staff #4’s record contains a TB screening/test that was last updated on 7/10/2020.”

Rule 8VAC20-780-160-C.

Based on record review and interview, the center did not ensure that staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment.

“Evidence: The records of Staff #1 (DOH:7/8/2019), Staff #2 (DOH:8/16/2022) and Staff #3 (DOH 11/10/2021) did not contain the Virginia department of Education-sponsored orientation training certificate.”

Rule 8VAC20-780-240-A.

Based on record review and interview, the center did not ensure there was at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.

“Evidence: There wasn’t a staff person present during the inspection that had received instruction in performing a daily health observation of children within the last three years.”

Rule 8VAC20-780-245-L.

Based on observation, prepared infant formula was not dated and labeled with the child’s name.

“Evidence: In the Infant B classroom, 4 bottles of prepared infant formula were observed in the classroom’s refrigerator not labeled with the child’s name and the date.”

Rule 8VAC20-780-570-E.

Based on record review, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: Staff #2’s record does not contain documentation that two or more references were checked before employment.”

Rule 8VAC20-780-70.

Based on record review, the center did not have immunization documentation available for review during the inspection.

“Evidence: Child #1’s record did not contain immunization documentation.”

Rule 8VAC20-780-130-A.

Based on record review, a physical examination was not kept on file and available for review during the inspection.

“Evidence: Child #1’s record did not contain a physical examination. The child’s first day of attendance was documented as 4/4/2022.”

Rule 8VAC20-780-140-A.

Based on record review and interview, a central registry check for an agent was not completed every 5 years.

“Evidence: Agent #1’s last Central Registry search result was dated 5/3/2016.”

Rule 22.1-289.036-A.

Based on record review, the center did not obtain documentation of a negative tuberculosis screening for each staff member.

“Evidence: Staff #1’s record does not contain documentation of a negative tuberculosis screening/test. The staff member was hired on 12/27/2021.”

Rule 8VAC20-780-160-A.

Based on record review and interview, there was not at least one staff member on present during the inspection who had obtained within the last 3 years instruction in performing the daily health observation of children.

“Evidence: There was not one staff member on duty with a current Daily Health Observation certification.”

Rule 8VAC20-780-245-L.

Based on observation cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the 4 year old classroom, a container of Clorox disinfectant wipes and a spray can of Lysol deodorizer were observed on a shelf under the classroom’s calendar, unlocked and accessible to children.”

Rule 8VAC20-780-280-B.

Based on record review and observation, at least one staff member with current cardiopulmonary resuscitation (CPR) and first aid (F/A) training certification was not present in each classroom or area where children are present.

“Evidence: Staff #1 was observed alone with 3 children in the infant classroom, the staff member’s file did not contain CPR/FA training certifications.”

Rule 8VAC20-780-530-A.

Based on review of emergency supplies, the first aid kit was incomplete.

“Evidence: The first aid kit was missing 1 of 2 required triangular bandages.”

Rule 8VAC20-780-540-A.

Based on record review, not all children in care had documentation of a physical examination within 30 days of attendance.

“Evidence: Child #1’s (FDA: 8/24/2021) record did not include documentation of a physical examination.”

Rule 8VAC20-780-140-A.